A nurse is caring for a client.
Complete the following sentence by using the list of options.
The first two actions the nurse should take are
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Place the client in a private room (Option 1): Given the positive test results for tuberculosis (TB) exposure, placing the client in a private room is crucial for infection control. This helps prevent the spread of TB, which is a highly contagious disease, to other patients and healthcare staff. Isolation is a standard precaution for patients suspected of having active TB.
Apply supplemental oxygen (Option 2): The client's oxygen saturation is low at 88% on room air, indicating hypoxemia. Administering supplemental oxygen is essential to improve the patient's oxygen levels, ensure adequate tissue perfusion, and address any respiratory distress the patient may be experiencing.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Regret about not marrying could be significant for mental health, but it does not pose an immediate physical health risk.
B. Sedentary behavior is a concern for overall health but does not require urgent intervention.
C. Lack of family support can impact emotional well-being but is not an immediate physical health risk.
D. Poorly fitting dentures can affect nutrition, leading to weight loss, malnutrition, or other health issues, making this the priority.
Correct Answer is B
Explanation
A. Applying antiseptic ointment is generally not recommended as it can cause irritation and may introduce bacteria.
B. Keeping the drainage bag below waist level helps maintain proper urine flow and reduces the risk of backflow, which can cause infection.
C. The drainage bag should be emptied when it is about half full, not only once a day, to prevent backflow and infection.
D. Clamping the tube is not advised as it could lead to urine retention and increase the risk of infection.
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